Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $173.87 / $256.44	Professional		$135.80	$173.87	$256.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $168.77 / $182.00 / $182.00	Professional	25	$168.77	$182.00	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $172.15 / $230.82	Professional		$147.60	$172.15	$230.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $204.66 / $239.94	Professional		$184.19	$204.66	$239.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $202.52 / $236.28	Professional		$185.65	$202.52	$236.28
United Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $210.96 / $274.97	Professional		$151.55	$210.96	$274.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $152.24 / $179.10	Professional		$125.37	$152.24	$179.10